19 April 2021
During a routine inspection
Rest Assured Homecare (UK) Limited is a domiciliary care agency providing personal care support to 14 people. This service is provided to both younger and older adults, those living with dementia, a physical disability or people with mental health needs. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
People felt safe having their care provided by staff at the service. This support gave people reassurance. Risk assessments were in place to identify risks to people’s health and well-being. The service was monitored to review the quality of the service provided and identify areas needing improvement. A new computerised care record system was about to be introduced soon, so that even more individualised detail to guide staff about people’s risks could be recorded. There would also be clearer guidance for staff around peoples ‘as required’ medicines. Staff told us they had time and made time to read and understand people’s care plans and risk assessments. This would help ensure safe and effective care was given.
The registered manager was aware of the incidents required to be notified to the CQC. They told us that to date no incidents had occurred.
Staff were punctual, people told us, and staff stayed at the care call visits for the correct amount of time or longer. Most people administered their own prescribed medication. Where staff assisted with medicines there were no concerns. People’s end of life wishes were recorded.
Staff had a complaints process to follow if a complaint or concern was raised. The nominated individual told us there had been no formal complaints about the service. People confirmed that if they made a suggestion or had a minor concern these were resolved quickly and to their satisfaction.
Staff had a series of recruitment checks completed to try to ensure they were of a suitable character to support people. Staff had induction training and specialist training to develop their skills and knowledge. Staff had supervisions and workplace observations to check their confidence and competency. Appraisals for staff were in the process of being completed.
Staff helped people maintain their independence as far as practicable. This was helped by using equipment and technology. Staff promoted and maintained people’s privacy and dignity. Staff were kind and listened to and respected people’s wishes. People were asked for their feedback on the staff who supported them, and staff were also asked for their feedback on the service.
The nominated individual and registered manager worked in conjunction with up to date guidance from external health and social care organisations. They also worked with external health and social care professionals to try to ensure a person’s well-being. People’s personal information was held securely within the office. Information was available in different formats to help aid with people’s understanding. People and their relatives told us communication with staff who supported them, staff in the office and the registered manager was good. They confirmed they felt involved in decisions around their family members care.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 3 September 2019 and this is the first inspection.
Why we inspected
This is the first inspection since the service registered with the CQC on 3 September 2019.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.